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General NPI Number Information
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NPI Number | 1366885212
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Entity Type | Individual
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Provider Name | ROSANNA ESTRADA MSN, ACNS-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 137 PALO ALTO RD
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City | SAN ANTONIO
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State | TX
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Zip | 78211-3736
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Country | US
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Telephone | 210-572-5330
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Fax | 210-368-2816
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Provider Business Mailing Address
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Address Line | 5886 DE ZAVALA RD STE 102-505
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2268
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Country | US
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Telephone | 210-367-9065
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Fax | 210-212-9197
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 724783
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP122388
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License Number State | TX
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